Individual
KIERSTEN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
423 GOODWICK DR, MIDDLETOWN, DE 19709-0188
(908) 472-5099
Mailing address
423 GOODWICK DR, MIDDLETOWN, DE 19709-0188
(908) 472-5099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00592800
NJ
225X00000X
Occupational Therapist
Primary
U1-0001950
DE
Other
Enumeration date
02/16/2015
Last updated
10/10/2019
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